| NPI | 1316185622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINA O'BRIEN Community Services Manager 815-288-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146.008250) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |